How does telementoring impact medical education within the surgical field? A scoping review

Pfennig, Mitchell; Lee, Andrew; Mi, Misa

doi:10.1016/j.amjsurg.2022.04.038

Cited by 14 publications

(8 citation statements)

References 32 publications

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“…Overall, surgeons in practice reported high satisfaction with telementoring CPD interventions in both educational and practice-based settings, with improvements in Moore’s Level 2 outcomes. Previous reviews reported similar findings of generally positive experiences with telementoring among surgeons and trainees, 42 as well as positive attitudes towards in-person coaching among surgeons in both technical and nontechnical skills training. 43 Developing a positive attitude toward an educational intervention has been noted as an initial step toward an effective CPD program.…”

Section: Discussionsupporting

confidence: 54%

Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

Fernandes,

Ghasroddashti,

Sorefan-Mangou

et al. 2023

Annals of Surgery Open

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Objective: We performed a systematic review to determine the educational effectiveness of telementoring as a continuing professional development (CPD) intervention for surgeons in practice. Background: Surgeons can mentor their peers in remote locations using videoconferencing communication, referred to as telementoring. Methods: We searched MEDLINE and EMBASE and included studies assessing the educational effectiveness of telementoring interventions used by surgeons in practice. We excluded studies involving only trainees and those not evaluating educational effectiveness. Two reviewers independently screened, extracted data, and assessed study quality using the Medical Education Research Study Quality Instrument (MERSQI; maximum score 18). Educational outcomes were categorized using Moore’s Outcomes Framework. Results: We retrieved a total of 1351 records, and 252 studies were selected for full-text review. Twenty-eight studies were included with 1 randomized controlled trial, 19 cohort studies, 5 qualitative studies, and 3 case studies, totaling 178 surgeons and 499 cases. The average MERSQI score was 10.21 ± 2.2 out of 18. Educational outcomes included surgeons’ satisfaction with telementoring interventions (Moore’s Level 2) in 12 studies, improvement in surgeons’ procedural knowledge (Level 3b) in 3 studies, improvements in surgeons’ procedural competence in an educational setting (Level 4) in 4 studies, performance in a workplace-based setting (Level 5) in 23 studies, and patient outcomes (Level 6) in 3 studies. No studies reported community health outcomes (Level 7). Conclusions: Moderate-level evidence demonstrates the use of telementoring as effective in changing surgeons’ knowledge and competence in both educational and workplace-based settings. Its use is also associated with changes in patient outcomes.

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Section: Discussionsupporting

confidence: 54%

Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

Fernandes,

Ghasroddashti,

Sorefan-Mangou

et al. 2023

Annals of Surgery Open

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“…In one study, tele‐mentorship provided an equal number of mentor‐mentee encounters compared to pairs asked to meet in‐person, nor was there a change in perceptions of mentorship barriers over time 28 . Historically, surgical and procedural fields have embraced tele‐mentoring to a greater level, with a recent scoping review identifying that tele‐mentoring can overcome financial and geographic barriers to improve learner skills and experiences 29 …”

Section: Resultsmentioning

confidence: 99%

“…28 Historically, surgical and procedural fields have embraced telementoring to a greater level, with a recent scoping review identifying that tele-mentoring can overcome financial and geographic barriers to improve learner skills and experiences. 29 The process of professional development as an earlycareer faculty member often originates in a place of discomfort and self-awareness and only later culminates in growth and the evolution of one's ideas. Arguably, earlycareer faculty who are "comfortable being uncomfortable" are also those whose work has the greatest impact on the populations they intend to reach.…”

Section: Mentoring and Professional Developmentmentioning

confidence: 99%

Career development in pragmatic clinical trials to improve care for people living with dementia

Gabbard,

Sadarangani,

Datta

et al. 2023

J American Geriatrics Society

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The growing number of people living with dementia (PLWD) requires a coordinated clinical response to deliver pragmatic, evidence‐based interventions in frontline care settings. However, infrastructure to support such a response is lacking. Moreover, there are too few researchers conducting rigorous embedded pragmatic clinical trials (ePCTs) to make the vision of high quality, widely accessible dementia care a reality. National Institute on Aging (NIA) Imbedded Pragmatic Alzheimer's disease and Related Dementias Clinical Trials (IMPACT) Collaboratory seeks to improve the pipeline of early career researchers qualified to lead ePCTs by funding career development awards. Even with support from the Collaboratory, awardees face practical and methodological challenges to success, recently exacerbated by the COVID‐19 pandemic. We first describe the training opportunities and support network for the IMPACT CDA recipients. This report then describes the unique career development challenges faced by early‐career researchers involved in ePCTs for dementia care. Topics addressed include challenges in establishing a laboratory, academic promotion, mentoring and professional development, and work‐life balance. Concrete suggestions to address these challenges are offered for early‐career investigators, their mentors, and their supporting institutions. While some of these challenges are faced by researchers in other fields, this report seeks to provide a roadmap for expanding the work of the IMPACT Collaboratory and initiating future efforts to recruit, train, and retain talented early‐career researchers involved in ePCTs for dementia care.

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“…Mentorship is ripe for virtual platforms given that sparse contact and geographic distance are often cited as major barriers to effective mentorship. Tele-mentoring allows for effective communication between parties who may be geographically isolated, including those in rural areas or developing nations [ 72 ]. Such efforts have been initiated by institutions and surgical societies to attract underrepresented in medicine (URiM) medical students through virtual mentorship programs and curricula [ 73 , 74 ].…”

Section: Leadership and Professionalism Trainingmentioning

confidence: 99%

The silver lining of the pandemic in surgical education: virtual surgical education and recommendations for best practices

et al. 2023

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Virtual education is an evolving field within the realm of surgical training. Since the onset of the COVID-19 pandemic, the application of virtual technologies in surgical education has undergone significant exploration and advancement. While originally developed to supplement in-person curricula for the development of clinical decision-making, virtual surgical education has expanded into the realms of clinical decision-making, surgical, and non-surgical skills acquisition. This manuscript aims to discuss the various applications of virtual surgical education as well as the advantages and disadvantages associated with each education modality, while offering recommendations on best practices and future directions.

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How does telementoring impact medical education within the surgical field? A scoping review

Cited by 14 publications

References 32 publications

Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

Career development in pragmatic clinical trials to improve care for people living with dementia

The silver lining of the pandemic in surgical education: virtual surgical education and recommendations for best practices

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